Individual
LINDA MITCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8311 DELAWARE AVE STE 204, UPPER DARBY, PA 19082-2611
(215) 200-2160
Mailing address
8311 DELAWARE AVE STE 204, UPPER DARBY, PA 19082-2611
(215) 200-2160
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
136873
PA
Other
Enumeration date
11/17/2021
Last updated
11/26/2021
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